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APPLICATI02 FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA BB201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION [I BUILDING C] MECHANICAL 0 PLUMBING ❑ am <br />PROJECT ADDRESS: ��U u-) 1 11'7/-'x_yfi /3't, <br />GrrNNE_M11_LONrWTTOR AT, ADOnE�ss CITY pr RIM STATE JcrRs; <br />�GICU CA AR—r E s?t__/ <br />uECNAYICAI rnNTDAL1On MAIL SS cm 7M rllORr STATF LICENSE r <br />12�1�pE.act flR%PA61X� .M 'SCM S.LIAw LF Sr S" 44114 0LLr'#1"I0ZA-F <br />MRAIRIG CON1RAr.TOR 4AILADDRESS LITY $IP PNO,F STATE IICE NSEA <br />cm Zocc (02"c'%4 RAAL 7cF• 46$1-le-144 <br />coNT cT RICE tx wORI <br />23 OrJo.EsU <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC O <br />_ _ <br />CONr.1CrI RIOR'. DPIUNENn <br />_ <br />oFSLNRE AMI SWARE FOOTAOE ERMYED <br />N SX <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORT( WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAW REGLYLATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORE FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW IS 27 RCW AND 296200 WAC. <br />X <br />IROPOSFD Ulu Ex MnIETRO <br />tEGAI DFscmrt" tt PROPEnrl,f ro N NtOlAORATTACHIRNOCONE51 <br />for STOCK tt <br />rNlcu a mrNnEn — <br />CONSVIRCROT,to. tEM1Fn. ADDRESS. TEIFAUrIE MItIER <br />s 1015 DATE <br />GTY IUSIESS LICENSE ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOL111MMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—ANINDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />_ <br />2 <br />SUB TOTAL S <br />SUB TOTAL $ <br />_ <br />PERMIT S <br />PERMIT S <br />_ <br />TOTAL FEE S <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />InnvTSnn+rF <br />nnnsr ISAC1( <br />SIDESCINACA <br />IIANOIRC I In <br />E <br />RICHpr NOPogmr NO <br />111E rDNF <br />t0I AREA <br />NACAYI SITE <br />FEES <br />VALUATION <br />—FEE — <br />pp(MW. <br />Or[s O ND <br />NOGur PVITAINN <br />AO OI DW[IIING <br />sw or It oco. <br />GyIT1 <br />r11 RID <br />CC I:IMA\I:Y <br />MI Ri $IM IS <br />p'L11rANT lnAn <br />RA1r LCNl <br />WEI.NN'AI <br />❑ns ONO <br />Anp POMA1. rl AN PKLR <br />ORCSIRRALERREOD <br />RIA[(n <br />011nn <br />"PE AURV RIO D <br />RI A"I <br />SIAII RIE DATR S RTuRAnot <br />11"Dr CON" <br />RAYS r7Rfnp. <br />CITY OF EVERETT <br />RImllr. wrn.S <br />/"✓� <br />LOCAL SALES <br />- ---- <br />11 <br />TAX CODE IS D105 <br />TOTAL <br />n,tE - <br />